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`. <br />'.: ~•~; - <br />2 Pc nni[ Mrollrat lan (cnnt'J <br />19• Tl+c lanJs hnrcin Jo not affect any of <br />the IanJ. Jcseri t.:J In Seet icn Ily('.)(f) <br />of the fli naJ LanJ Rxlamati on Act. <br />WlPS G EXIf18175 <br />•`'i [h each of tl+e five (i) copies of the application form, the applicant must submit <br />a eorresponJing sec of the maps and exl+i bits outlined in RULE 2, as Follows: <br />1. EXHIBIT A - Legal description , <br />2. EXHIBIT B - Indcr, map <br />j. EX111 BIT C - Pre-mining E mining plan map(s) of affected lands <br />4.• EXHIBIT 0 - Hining plan <br />5• EXHIBIT E - Reclamation plan <br />6. EXHIBIT F - Reclamation plan map <br />7. EXHIBIT G - Na[er information <br />8. EXHIBIT H - 4fi ldiife informa[i on <br />9• EXHIBIT 1 - Soils information <br />10• EXH101T J - Vegetaci on information _ <br />I1. EXHIBIT K - Climate <br />12. EXHIBIT L - Reclamation Costs ' • <br />~NB: Concerning the next three E;s ::16175 ;t, N, 0: please note that the <br />July 19]8 edition of [he Ru',es and Regulations omits Chcse EXHIBITS. <br />This was not a deletion 6y tic Mined Land F,eclama[ion 3oarJ; [he <br />data required from these EXH131TS was merely transferred [o a new <br />section in the P,egula[ions (RULE 9, p- 46). Subsequent issues of the <br />Regulations ~•i 11 reflect the omission of proper cress-referencing in <br />this regard. Please include, in your permit application, EXHiBliS <br />H, N, 0, as required by RULE 9.1(1), (2) and (3). <br />17., EXHIBIT H - Local government approval ) See RULE 9.1(I) <br />14. EXHIBIT it - Other pe snits or licenses ) see RULE 9.1(2) <br />15. EXH I8IT 0 - Source of legal right to enter ) Sec PULE 9.1(3) <br />16. EXH 1817 P - Owners of rece rd of surface and subsurface rights. <br />NOTICE PFOCEDURES ~~ <br />Afier ;he application is considered "filed" (pursuant to RULE 1.1(10) wi;h the <br />~~' Mined Land Reclamation Division, notice procedures outlined in RULE 2.2 must be <br />followed. (Format for such notices will be included in the letter you receive from <br />the MLR Staff informing you of the completeness ("filing") of your application. <br />ADDITIONAL IIIFORMATIDH <br />This space can he referenced for further information of any of the items in this form. <br />•~~ ~_ <br />r <br />To the best of rr/ knowledge, all Che information presented in this application is I <br />_-~ true and correct. <br />- TITLE Materials Source Specialist ~ I <br />.. 1 <br />~~~~~ ~ ~ ~~ ~ ~ (Signature by individual legally au[horixed to bind <br />~~ ~ the operator to this application.) _ <br />